The nurse is assessing a client who is 34 weeks pregnant. Which of the following visual changes are usually normal in this stage in pregnancy and should disappear at some point after delivery? Standard Text: Select all that apply
1. The client is complaining that her eyes feel very dry.
2. She states that she is experiencing blurry vision.
3. Periorbital edema is noted.
4. Cataracts are noted.
5. She has been unable to wear her contact lenses.
1,2,5
Rationale 1: The client is complaining that her eyes feel very dry. The pregnant client may complain of dry eyes. This symptom is usually not significant and disappears after childbirth.
Rationale 2: She states that she is experiencing blurry vision. The pregnant client may describe visual changes such as blurry vision due to shifting fluid within the eye. Blurriness or distorted vision can occur because of temporary changes in the shape of the eye during the last trimester of pregnancy.
Rationale 3: Periorbital edema is noted. Eyelid edema is not a common problem associated with pregnancy. Periorbital edema may signal an underlying problem.
Rationale 4: Cataracts are noted. Cataracts are not commonly associated with pregnancy.
Rationale 5: She has been unable to wear her contact lenses. Pregnant women often discontinue wearing their contact lenses during their pregnancy as a result of fit and comfort.
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